Jacob Waxman
NPI #1093063125 in Weymouth, Massachusetts
Provider Information
- NPI Number
- 1093063125
- Entity Type
- Individual
- Name
- Jacob Waxman
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 21, 2012
- Last Updated
- Aug 21, 2012
Practice Location
- Address
- 541 MAIN ST
- Address 2
- SUITE 303
- City
- Weymouth
- State
- Massachusetts
- ZIP Code
- 02190-1868
- Phone
- (781) 331-7866
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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